Thoughts that will not settle
Worry may jump between topics, repeat, or feel far larger than the situation in front of you.
Anxiety and tension
You should not have to live on high alert.
Worry, tension, dread, and restlessness can become more noticeable during perimenopause. Persistent anxiety deserves a careful assessment.
Anxiety can live in your thoughts and your body.
Worry, dread, muscle tension, restlessness, or feeling constantly on edge may become more noticeable during perimenopause.
A body that stays tense
Muscle tension, stomach upset, sweating, shakiness, racing heart, and headaches can accompany anxiety.
Sleep and focus suffer
It may be harder to fall asleep, stay present, make decisions, or finish familiar tasks.
Hormonal change may add strain, but anxiety has many contributors.
Sleep loss, hot flashes, stress, thyroid disease, medicines, caffeine, cardiac symptoms, and an anxiety disorder can overlap.
Pattern and impact
Frequency, triggers, duration, avoidance, and interference with daily life help define whether anxiety needs treatment.
Physical mimics
Thyroid changes, anemia, heart rhythm problems, breathing conditions, and medicine effects can resemble anxiety.
Menopause symptoms
Hot flashes, palpitations, poor sleep, and unpredictable symptoms can reinforce a sense of alarm.
Calm the alarm and address what is driving it.
Effective care may include therapy, medication, physical evaluation, and treatment for sleep or vasomotor symptoms.
ApproachWhat it may includeWhat to know
Clarify the cause
Anxiety screening, medical history, medicines, substances, sleep, and targeted testing.
Assessment distinguishes an anxiety disorder from symptoms driven by another condition.
Use evidence-based treatment
Cognitive behavioral therapy, other psychotherapy, and medication when appropriate.
Options should fit symptom severity, preferences, prior response, and side-effect concerns.
Reduce overlapping triggers
Treatment for hot flashes, insomnia, pain, and other symptoms that keep the body activated.
Managing physical triggers can make anxiety treatment more effective.
Clinical care, built around the whole picture
We look at both the anxiety and what may be fueling it.
Our clinicians review menopause symptoms, medical contributors, and mental-health needs so your plan is specific rather than dismissive.
Name what changed
We listen for timing, intensity, daily impact, sleep, medicines, health history, and safety concerns.
Assess the whole picture
Menopause symptoms can add strain, but anxiety, depression, medical conditions, and life circumstances deserve their own evaluation.
Connect the right care
We treat menopause contributors and guide mental-health or urgent support when that is the care you need.
Clinical leadership
Barbra Hanna, DO, FACOG, MSCP
Founder, board-certified OB/GYN, Menopause Society Certified Practitioner
Meet the care teamFeeling on edge does not have to become your new normal.
Meet virtually with a menopause specialist to review what changed and build a clear path forward.
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Most major commercial insurance plans accepted.
Coverage varies by plan and location. Not currently accepting Medicare, Medicaid, or HMO plans.